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DR. TIMOTHY IMMELMAN PHD
NPI 1245088186
Psychologist - Health Service in Winston Salem, NC

Active since May 07, 2024PECOS Enrolled
3325 SILAS CREEK PKWY, WINSTON SALEM, NC 27103(320) 761-1395 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy Immelman Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY IMMELMAN PHD (NPI 1245088186) is an individual health service provider in Winston Salem, North Carolina, licensed in North Carolina (103590) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245088186
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. TIMOTHY IMMELMANCredential: PHD
Location Address3325 SILAS CREEK PKWYWinston Salem, NC 27103-3013
Mailing Address341 Miller StWinston Salem, NC 27103-3659 · (320) 761-1395
Phone(320) 761-1395
Sole ProprietorNo
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1245088186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in NC · 103590
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
3325 SILAS CREEK PKWY, Winston Salem, NC 27103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Immelman Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CRYSTAL ANN RAY MA
Psychologist
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 713-4500
GAIL HOUNSHELL PHD
Psychologist
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 774-2400
MICHELLE J. CURTIN DO
Pediatrics (Developmental - Behavioral Pediatrics)
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 713-7429
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Community/Behavioral Health
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 713-7443
COLLEEN QUAM MA
Speech-Language Pathologist
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 774-2400
DR. NICOLE BETH DOYLE PHD
Psychologist (Clinical)
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 716-9253
RENEE TAYLOR
Social Worker (Clinical)
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 774-2400
GEORGIA MARTIN
Occupational Therapist
3325 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 713-7410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Immelman's NPI number?

The NPI number for Timothy Immelman is 1245088186. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Timothy Immelman located?

Timothy Immelman practices at 3325 Silas Creek Pkwy, Winston Salem, NC 27103. The listed phone number is (320) 761-1395.

What is Timothy Immelman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Timothy Immelman enrolled in Medicare?

Yes. Timothy Immelman is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Immelman accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Timothy Immelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Immelman was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.